Central Carolina Sandhills Family Care | |
101 Church St Broadway NC 27505-9394 | |
(919) 258-6521 | |
(919) 258-6693 |
Full Name | Central Carolina Sandhills Family Care |
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Speciality | Clinic/Center |
Location | 101 Church St, Broadway, North Carolina |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Carolina Sandhills Family Care 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Central Carolina Sandhills Family Care 101 Church St Broadway NC 27505-9394 Ph: (919) 258-6521 |
NPI Number | 1578254215 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 3577840420 |
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Medicare Enrollment ID | O20230706003738 |
Identifier | Type | State | Issuer |
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1578254215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sandhills Family Practice P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Church Street, Broadway, NC 27505 Phone: 919-258-9214 Fax: 919-258-6693 |